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1306960026
MIRANDA VILLANUEVA
FREEHOLD, NJ
NPI
1306960026
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Former Name
MIRANDA YOUSSEF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00177400)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- MIRANDA VILLANUEVA M.S., PA-C
901 W MAIN ST CENTRASTATE MEDICAL CENTER
FREEHOLD, NJ 07728-2537
Phone number: 732-294-2666
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Mailing Address
-- MIRANDA VILLANUEVA M.S., PA-C
PO BOX 2680 CENTRAL JERSEY EMERGENCY MED ASSOC PC
NEW BRUNSWICK, NJ 08903-2680
Phone number: 800-666-2455
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